Ty Ellsworth, DMD
NPI 1699124123ActiveIndividual· Dentist· Show Low, AZ
Dentist (DMD) in Show Low, Arizona, licensed in AZ, with an NPI issued in June 2016. Part D covered 12 prescriptions written in 2024. Solventum Corporation reported $16.13 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1699124123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jun 6, 2016 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D009461 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $58.97 |
Industry payments (Open Payments)
- 2024$16.13 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Solventum Corporation | $16.13 | 1 |
What the 2024 payments were for
- Food and Beverage$16.13 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Show Low
- 1134579022
- 1548613185
- 1154975076